Jasmine Massoumi, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95009023 Issued in CA

Practice address

2722 Augustine Dr Ste 120
Santa Clara, CA 95054-2943

Phone

(408) 314-8903

NPI assigned

May 13, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526169600000",
    "number": "1316437692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14215 SQUIRREL HOLLOW LN",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950705417",
            "telephone_number": "408-314-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 AUGUSTINE DR STE 120",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950542943",
            "telephone_number": "408-314-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSOUMI",
        "first_name": "JASMINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-13",
        "last_updated": "2018-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95110122",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95009023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jolanta Anna Marzec, RRT
• Kristin Marie Maslic, LCSW
• Irene A Mason, M.D.
• Melissa Mason, APRN
• Sally Mason, P.T.
• Gregory W. Masters, MD
• Jessica Marie Matei
• Jonathan L. Mates, MD
• Rupinder S. Matharu, MD
• Mark Hunt Mather, OTR

• Nurse Practitioner in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.